| NPI | 1548688518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C210357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 289404) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2026-07-31 |